CNUR 402

Age-related changes occur in older adults that effect nutrition. Which of the following are said to be true? (select all that apply) (a) chewing is less efficient (b) minimum intake of protein should be 0.2-1 of body weight (c) saliva decreases (d) should not consume no more than 25-35% of daily caloric intake in fat (e) diminished sense of smell and taste

correct: (a), (c), (e). (b) minimum intake of protein 1.0-1.6/kg of body weight (d) no more than 10% to 30% of daily caloric intake

The child rearing philosophy is called inunngioniq and means: (a) making of human being (b) making of healthy person (c) development of a holistic human (d) elder knowledge

(a) making of a human being

Which of the following factors affect the appropriate use of medications? (select all that apply) (a) motivation (b) knowledge about the substance (c) ability to obtain correct amounts of medication (d) ability to follow correct dosage regimen (e) physical ability to remove the substance from the container and administer it

all of the above

Which of the following roles would an advanced practice nurse (APN) be seen doing? (select all that apply) : (a) teacher (b) researcher (c) consultant (d) administrator (e) expert clinician (f) case manger (g) group counsellor

all of the above

The Clinical Decision Tool (CDL) is used for: (a) northern primary care practice (b) rural primary care practice (c) by physicians to determine health needs of diabetics (d) by nurses to help make decisions that physicians would

(a) northern primary care practice

In Canada, the first means of evaluation for safety in driving is conducted by who? (a) physician (b) nurse (c) family member (d) individual themselves

(a) physician

Select the federal privacy laws that protect citizens of Canada when dealing with telemedicine (select all that apply) (a) the privacy act (b) personal information protection and electronic documents act (c) access to information act (d) freedom of information act (e) personal health information protection act

(a) and (b)

An ER nurse is caring for a level one patient who is experiencing altered LOC and major trauma. The nurse understands that care for this patient should be: (a) constant (b) every 15 minutes (c) every 30 minutes (d) between every 5-15 minutes

(a) constant

The TU Delft video features a ambulance drone. Which features does the drone have? (select all that apply): (a) a camera (b) a speaker (c) common/necessary medication (d) an AED (e) oxygen and mask

(a) (b) (d)

A patient comes in with a head injury, altered LOC, and severe trauma, this will be considered what level of triage? (a) one (b) two (c) three (d) four (e) five

(b) two

You are the nurse in the ER and a patient comes in stating he is having a moderate asthma attack and does not have access to his medication. The nurse would triage the patient as a level: (a) one (b) two (c) three (d) four (e) five

(c) three

Nurse Kelly is getting to know a rural community and recognizes which of the following to be untrue about the themes of rural communities: (a) places matter to health (b) rural places are dynamic (c) rural places are diverse (d) rural places are not diverse and usually consist of the same groups

(d) rural places are not diverse and usually consist of the same groups. There are always new groups coming into rural areas and the communities are always changing. Numerous changes are experience by rural places such as: population shifts, economic changes resulting from globalization, and climate changes

A loss of muscle mass, strength, and endurance is defined as: (a) arthritis (b) osteoporosis (c) osteoarthritis (d) sarcopenia

(d) sacropenia

There are two types of homecare. They are: (a) vital care and social care (b) skilled care and social care (c) nonmedical care and vital care (d) skilled care and nonmedical care

(d) skilled care and nonmedical care Skilled home care services address the needs of people who are recovering from an illness or injury and have potential for returning to their previous level of functioning. In contrast, nonmedical home care services address needs of people with chronic or declining conditions who do not qualify for skilled care.

Which vitamin is associated with low bone density, increased risk for fragility fractures, and mobility limitations if found to be low? (a) vitamin A (b) vitamin B (c) vitamin C (d) vitamin D

(d) vitamin D

Which of the following is not a stage of learning described by the inuit elders? (a) becoming aware (b) beginning to understand (c) beginning to make sense to others (d) able to experiment (e) able to learn (f) now capable

(e) able to learn

One sociocultural theory of aging is the age stratification theory. Which definition best describes this theory? (a) considers the interrelationships between personal competence and the environment (b) elderly people, as a group, have their own norms, expectations, beliefs, and habits (c) older people remain socially and psychologically fit if they remain actively engaged in life (d) society and older people engage in a mutually beneficial process of reciprocal withdrawal to maintain social equilibrium (e) addresses the interdependencies between age as an element of the social structure and the aging of people and cohorts as a social process

(e) addresses the interdependencies between age as an element of the social structure and the aging of people and cohorts as a social process

A patient comes into the ER complaining of mild abdominal pain and vomiting. The level of triage stage this patient is experiencing is: (a) one (b) two (c) three (d) four (e) five

(e) five

Which level of triage should get nursing care every 120 minutes? (a) one (b) two (c) three (d) four (e) five

(e) five

Which of the following is not a common syndrome listed in the SPICES acronym? (a) sleep disorders (b) incontinence (c) skin breakdown (d) confusion (e) syncope

(e) syncope (fainting)

T/F: The role of the RN with additional authorized practice is to replace the services provided by the RN(NP)

False

T/F. All provinces and territories have the same health care system.

False. Each Canadian province and territory thereby has a unique health-care system since the delivery design is province specific.

T/F: Nurses should ask yes or no questions when conducting a functional assessment with an elderly individual to make it easier and less confusing.

False. It is important to avoid yes or no questions and ask questions such as 'describe how you get your grocery shopping done.'

T/F: Rural residents use fewer health services.

False. Rural residents do not necessarily use fewer health services, but they might use a different range of services. For example, rural Canadians are more reliant on family physicians, more likely to be hospitalized but for shorter lengths of stay, more likely to use services provided by nurses, but less likely to use dental services or access community based care.

T/F: STARS is free if it a life or death situation.

False. There is a minimum charge and then mileage is added to the transfer. If a doctor or nurse needs to be involved there may be more additional charges.

T/F: It has been shown that this mobile technology can capture and transmit digital colour images of malaria parasites and sickled red blood cells in blood smears, as well as identify Mycobacterium tuberculosis in sputum smears

True

T/F: REHCF's (rural emergency health care facilities) can use non-physician assessment protocols and communication of information necessary for medical diagnosis and initiation of treatment protocols.

True

T/F: Rural community nursing offers a very 'big picture' of nursing

True

T/F: Rural residents express that they live in these areas for a "sense of belonging" and chose to live in such environments, emphasizing the connection with physical geography and its positive impacts on life.

True

T/F: Statistics from 2001 have shown that more Aboriginal people moved onto reserves (from rural communities) than off reserves.

True

A program called Healthy Buddies was created to address obesity and self esteem in Aboriginal children. The main components are (select all that apply) : (a) physical activity "Go move" (b) healthy eating "Go fuel" (c) healthy body image "Go feel good"

all of the above

Abby is a nurse in a long term care facility. Her role consists of which of the following? (select all that apply): (a) team leader (b) nursing supervisor (c) wellness nurse (d) director of nursing

all of the above

The RP-7 is a 'robot' wirelessly controlled by a laptop computer equipped with audiovisual capability and a joystick to maneuver the robot in real time to aid in the assessing and care of patients from a distant location. Which is considered NOT to be true about the study conducted on RP-7s in a remote Inuit community? (a) there is a steep learning curve when using the robot (b) 100% of the nurses using RP-7 had a positive impact (c) 95% of patients indicted they would use RP-7 again for clinical evaluations (d) majority of patients were very comfortable with the interactions with the RP-7

(a) The learning curve for driving the RP-7 robot is not steep as the controls and operability are very intuitive. Participating physicians required approximately 1 h of training prior to being comfortable in operating the RP-7 robot

A nurse is caring for an Aboriginal patient. The patient seems to mistrust the nurse and mumbles how doctors and nurses have harmed his people in the past. The nurse realizes the patients behaviors could stem from: (select all that apply) (a) how colonization took away aboriginal health practices and turned them to western medicine (b) the history of aboriginal people questioning medical beliefs of western medicine (c) traumatizing history of positions of authority (physicians) from residential schools (d) the nurse's actions are to blame because of how she treated the patient

(a) (b) (c)

The Canadian Triage and Acuity Scale (CTAS) has a number of concerns. (select all that apply) (a) concerns that triage contributes to access block (b) condustion between fever definition and SIRS criteria (c) challenges for triage nurses interpreting the pediatric physiologic parameter tables (d) it gives opportunity to make assumptions and stereotypes

(a) (b) (c)

In terms of the federal legislation of the Indian Act, Metis people are not inclined to the same rights as First Nations people. Metis people are at a disadvantage given their limited coverage for health care services such as which of the following? (select all that apply): (a) coverage on medication (b) medical transportation (c) support for maternal care (d) crisis counseling

(a) (b) (c) (d)

The nurse understands the relationship between the liver and medications. It is also known that hepatic blood flow starts decreasing around which age? (a) 40 (b) 50 (c) 60 (d) 70

(a) 40. Decrease hepatic flow can cause an increased serum level of substances that are metabolized more extensively by the liver. Factors such as diet, caffeine, smoking, alcohol, genetic variations and pathologic conditions can affect liver metabolism of substances.

Which of the following policy proposed the transfer of health funding and administrative responsibilities to First Nations. (a) Indian Health Transfer Policy (b) Indian Responsibility Transfer Policy (c) Transfer of Health and Ownership to Indian Leaders Policy (d) Transfer of Funding and Responsibility Policy

(a) Indian Health Transfer Policy (1986). It allowed them to determine community health needs and respond with appropriate programming sing their own governance and administrative structures within the accountability guidelines set out by FHIN, as long as mandatory programs continued to be provided.

Which of the following argued that health is not achievable through health care service alone, but also from the interaction of health services with biology, lifestyle, and environment? (a) Lalonde report (b) Declaration of Alma-Ata (c) Public health approach (d) Ottawa Charter

(a) Lalonde report

'Pharmacy runs' are done in rural health settings because of what reason (select all that apply): (a) no pharmacy on site (b) to obtain medications from other facilities if the one you are at does not have what you need (c) rural nurses are never off duty and as a requirement have to do this on weekends

(a) and (b)

A nurse is teaching students in a rural community about motor safety, specially dirt bikes and quads. The nurse focuses on motor safety because she/he knows: (select all that apply) (a) rural residents are more likely to get injured (b) rural residents are more like to be in accidents (c) rural residents do not care about safety measures (d) rural residents place their child in unsafe situations regarding motorized vehicles

(a) and (b) (c) and (d) are just assumptions

The simple imaging technique which using T-scores to evaluate how healthy the individual is is known as: (a) bone densitometry (b) CT scan (c) functional MRI (d) bone scan

(a) bone densitometry. A bone densitometry has become popular with bone density and measuring the amount of minerals in the bone, and is now routinely evaluated in older adults. They use a T-score to evaluate how healthy the individual is. Normal T-score is -1 and above. When a T-score is between 1 and 2.5, the diagnosis is osteopenia. When a T-score is lower than this, the diagnosis is osteoporosis.

In a rural hospital setting there is no central scheduling which means any replacements or sick time is through the charge nurse. When you have a small team, if you cant replace a key member and you do not have the staff to provide safe care, you have to: (a) close the facility for those 12 hours and transfer patients out (b) work with unsafe staff numbers anyway (c) recruit family members for the day to look after the patient

(a) close the facility for those 12 hours and transfer patients out

"An individually defined state or process in which the individual (nurse, client, family, group or community) experiences a sense of well-being, harmony, and unity such that subjective experiences about health, health beliefs, and values are honored; a process of becoming an expanded consciousness". This definition is best known as: (a) holistic nursing (b) holistic nursing of wellness (c) holistic medicine (d) natural healing

(a) holistic nursing

A nurse is conducting a functional assessment in an elderly clients home. The nurse notices how the client struggles with getting out of bed. An intervention which could benefit the client is: (a) installing a Sask-a-pole in the bedroom (b) setting up meetings with someone who can help the client out of bed each day (c) putting emphasis on the family to assist (d) hiring a personal care-aid to help

(a) installing a Sask-a-pole in the bedroom. This will help the client remain independent without requiring any additional help.

Which health disparity should a nurse keep in mind when dealing with the Aboriginal population? (a) life expectancy is 7 years less than the average Canadian (b) more likely to work in hazardous conditions (c) men have less access to healthcare then women (d) population tends to be older adults

(a) life expectancy is 7 years less than the average Canadian

Census rural refers to which of the following? (a) population living outside settlements of 1,000 or more inhabitants and with a population density of 400 or more inhabitants per square kilometer (b) more than 50% of the population living in a rural community with a population density of fewer than 150 persons per square kilometer (c) outside the main commuting zone of 10,000 or more

(a) population living outside settlements of 1,000 or more inhabitants and with a population density of 400 or more inhabitants per square kilometer

The stock that a community or institution has to address change is considered which of the "Three C's"? (a) social capacity (b) capacity (c) cohesion (d) sense of community

(a) social capacity

Bill is 86 and lives on his own. He can be at risk for falls if he has any of the following: (select all that apply) (a) sleep problems (b) orthostatic hypotension (c) vision impairment (d) diabetes (e) depression (f) taking antipsychotic medication

(a), (b), (c), (e), (f)

A nurse notes while conducting a functional assessment that an elderly client's house is messy and dirty clothes are everywhere. There is also no food in the fridge and what is in there is moldy. The nurse would indicate which of the following IADL are lacking? (select all the apply): (a) housing keeping (b) ambulation (c) laundry (d) shopping (e) dietary intake (f) meal preparation

(a), (c), (d), (f) Both (b) and (e) are normal ADLs. Not IADL

Romanow says the hold up on more additional authorized practice nurses and nurses doing more of what doctors do is (select all that apply): (a) doctors are reluctant on nurses doing their jobs (b) no voice by the public to motivate (c) the details need to be looked after

(b) (c) He says doctors said they would be fine with nurses doing more of doctors tasks

A new care option in Canada is the assisted living facility (designated living). Which statements are true about this new facility? (select all that apply) : (a) targeted to lower class older adults (b) for physically and mentally frail older adults who require a protective environment (c) offers a 'social' or 'residential' care model that resembles a hotel (d) residents have more say in their care (e) although each have their own room, there are no locks on the door

(b) (c) (d)

The Declaration of Alma-Ata did which of the following (select all that apply) (a) heralded a change in the definition of health from having a focus on the absence of disease to emphasizing wellbeing in a larger context (b) brought forward action on the Lalonde way of thinking (c) focused on social justice, equity, public participation, appropriate technology, and intersectoral collaboration (d) moved traditional health thinking to a health promotion framework that called for health providers to work with people to assist them with their health and health decisions.

(b) (c) (d). (a) is what the Lalonde report did

The 'Promising Practices in Indigenous Communities in Saskatchewan' video discusses which of the following (select all that apply): (a) communities coming together to overrule the chiefs of the four bands (b) discussion of indigenous people dealing with HIV/aids (c) how there is no harm reduction in the communities (d) stigma of HIV is the killer

(b) (d) (c) it featured harm reduction strategies in the community

Extremely high rates of PTSD and depression in many Indigenous communities has high correlation with smoking. It is said that what percent of First Nation and Metis people smoke? (a) 1/2 (b) 1/3 (c) 1/4 (d) 1/5

(b) 1/3

HIV infection is an known epidemic in Canada. How many times higher is HIV in the Aboriginal population than the average of Canadians? (a) 1.5 (b) 2.8 (c) 3 (d) 3.7

(b) 2.8 times higher

The SRNA has how many standards and competencies? (a) 4 (b) 5 (c) 6 (d) 7

(b) 5. Professional responsibility and accountability, knowledge-based practice, ethical practice, service to the public, self-regulation

Which acronym is best used for assessing functioning in the elderly? (a) SPICES (b) SHOW ME (c) HELP (d) SCREEN

(b) SHOW ME. Shirts and shoes, hike to bathroom, organization and use of grooming utensils, walk through home in all areas needed for ADL and medications and eating and making meals

A male patient in a rural community needs education about caring for his diabetes. The nurse understands Telehealth may be beneficial for the man because of what reason? (a) it is known men with diabetes need extra education on the disease (b) Telehealth has increased health services in rural communities before (c) Telehealth will provide more information to the man (d) diabetes is a condition that needs constant monitoring and Telehealth will help provide that

(b) Telehealth has increased health services in rural communities before

Adult day centres have become a major community-based resource for the care of dependent older adults. There are two types of adult day care centres: medical and social. A senior attending a day care center generally requires which of the following? (a) permission from the government (b) a health assessment completed by a doctor (c) a full week of a family member helping out at the centre (d) tasks to complete each week to help them feel meaningful

(b) a health assessment completed by a doctor. Participants in an adult day care center usually are impaired to the point that they need supervision or assistance in several functional areas. Most are cognitively impaired, but depression and physical disabilities are common conditions as well. The goals of these programs are to maintain or improve the functional abilities of impaired older people, to delay or prevent the need to institutional care, to provide relief for caregivers and to improve the quality of life for older adults.

Which aspect is most important to marginalized seniors? (a) their health (b) being near their family (c) having a sense of purpose (d) participating in activities

(b) being near their family. Marginalized seniors are limited to social connections to people in the community other than family members, their limited incomes, and their lack of personal agency. Some have health concerns that add to the nature of their lives.

Anne who is 84 and a grandmother of 6 realizes her goals in life have shifted from knowledge seeking goals to emotional goals. The psychological theory she is demonstrating is: (a) human needs theory (b) selection, optimization, and compensation (c) socioeconomic selectivity (d) gerotranscendence

(c) socioeconomic selectivity. In contract to younger adults, who view time as unconstrained, older adults recognize that their time is limited, so they focus on emotional goals rather than on knowledge-seeking goals.

A nurse in a long-term care facility notices a resident who has made some changes and has verbalized "I used to fear death but I don't anymore" and "I can't believe I used to think the world revolved around me, I was so self-centered" . The resident is demonstrating aspect from which psychological theory? (a) human needs (b) gerotranscendence (c) selection, optimization, and compensation (d) person-environment

(b) gerotranscendence. Human aging is a process of shifting from a rational and materialistic metaperspective to a more cosmic and transcendent vision. It includes: decreased self-centredness; less concern with body and material things; decreased fear of death; discovery of hidden aspects of self; increased altruism; increased time spent in solitude; urge to abandon roles; and decreased interest in superfluous social interaction.

A major barrier to accessing required prescription medications and dental care for Indigenous peoples in urban areas who do not qualify for non-insured health benefits is which of the following social determinant of health? (a) physical environment (b) income (c) social support (d) education and literacy

(b) income

Billie, age 87, remembers how outgoing and social he was when he was younger. He is realizing he is not like that anymore and keeps to himself and hardly ever interacts with anyone. Billie is demonstrating aspects of which psychological theory? (a) human needs theory (b) life-course and personality development theory (c) selection, optimization, and compensation theory (d) socioeconomic selectivity theory

(b) life-course and personality development theory. People are more generally extroverted at a young age and develop into introversion as they age. Describes the task of old age as balancing the search for integrity and wholeness with a sense of despair.

A nurse identifies a patient's medication error (such as omissions, duplications, dosing errors or drug interactions) during transitions in care. The nurse is demonstrating what? (a) medication competency (b) medication reconciliation (c) medication adaptation (d) medication compliance

(b) medication reconciliation. Medication reconciliation is an intervention that has been implemented in the health care setting and considered one of the top patient safety priorities in Canada.

Bill lives in a rural community and farms for a living. He never completed highschool and struggles with his farming business. Some years he barely makes enough money for his family's essential needs. Bill is at an increased risk for: (a) food insecurity (b) mortality (c) obesity (d) mobility issues

(b) mortality. Not having completed secondary school and having a low median household income are strong predictors of increased mortality risk in both men and women

The study regarding health promotion and disease prevention (HPDP) interventions in frail older adults found: (a) it was extremely expensive to complete the interventions (b) nurse-led interventions for frail older home care clients provided greater improvements than usual home care (c) the interventions should be directed by what the nurse thinks is important

(b) nurse-led interventions for frail older home care clients provided greater improvements than usual home care

The government is needed to help reduce which current epidemic in Aboriginal remote communites: (a) HIV/AIDs (b) opioid addiction (c) diabetes (d) influenza

(b) opioid addition. The federal government can curb this crisis by funding less-addictive options, several of which are more expensive and not on the formulary for Non-Insured Health Benefits

The most significant overall impact of age-related changes to do with the musculoskeletal system is: (a) arthritis (b) osteoporosis (c) osteoarthritis (d) sarcopenia

(b) osteoporosis

Which of the following involves participation in research by the people being studied, focuses on empowerment and power relations and fosters awareness, education, and political action: (a) collaborative leadership (b) participatory action research (c) team functioning (d) national interprofessional competency framwork

(b) participartory action research

A nurses takes a glance at her new patient and guesses that her patient is approximately 93 years old. The nurse's guess is an example of : (a) subjective age (b) perceived age (c) chronological age (d) functional age

(b) perceived age. How old other people estimate someone is

Jane, 72, is told she has diminished calcium absorption, increased serum parathyroid hormone, and decreased estrogen. Because of this she is at risk for: (a) cancer (b) remodeling process of bones (c) diabetes (d) remodeling process of muscles and ligaments

(b) remodeling process of bones. Increased bone resorption, diminished calcium absorption, increased serum parathyroid hormone, impaired regulation of osteoblast activity, impaired bone formation, fewer functional marrow cells, decreased estrogen in women and testosterone in men

Individuals in towns or municipalities outside the commuting zones of larger urban centers is defined as which rural definition? (a) census rural (b) rural and small town (c) predominately rural region (d) geographic location

(b) rural and small town

Social stability, recognition of diversity, safety, good relationships, and cohesive communities falls under which social determinant of health? (a) support support networks (b) social environment (c) physical environment (d) personal health practices and coping skills

(b) social environment. The values and norms of a society affect the health and well-being of individuals and populations. Social stability, recognition of diversity, safety, good relationships, and cohesive communities provide a supportive society

Which sociocultural theory has a characteristic of "older people are less well integrated into the larger society and interact more among themselves, compared with people from other age groups" (a) disengagement theory (b) subculture theory (c) person-environment fit theory (d) human needs theory

(b) subculture theory. Elderly people, as a group, have their own norms, expectations, beliefs, and habits; therefore, they have their own subculture.

Which of the following is NOT true about stoic seniors? (a) they have a strong work ethic (b) they like to join different community programs (c) staying home is acceptable to them (d) their connections are focused on family members and close friends who are nearby (e) they become connected with others through work, their daily routines, or in small social encounter with community members

(b) they like to join different community programs. This is not true. They are not joiners

The Klinic Community Health Centre in Winnipeg calls for health providers to provide care that is "trauma-informed." The centre did this by creating which resource? (a) trauma checklist (b) trauma toolkit (c) trauma questionnaire (d) questions to facilitate an interview with a trauma victim

(b) trauma toolkit. Provides practical instructions to avoid acting in a way that could be interpreted as coercion or judgement - including making decisions "with" patients rather than "doing to." Health workers should also make it clear to patients that they understand their addictions as necessary "survival mechanisms," while helping them on alternative ways to cope with trauma.

The nurse understands how health care is covered in regards to the Indigenous population by verbalizing which statement? (a) "all First Nations, Metis, and Inuit people are covered the same and have the same benefits" (b) "the Federal government is responsible for every Canadian's health care" (c) "the federal government is responsible for health care "Status Indians" while provincial governments are responsible for non"Status Indian" Indigenous people and all other Canadians (d) "all Indigenous individuals get their medication covered"

(c) "the federal government is responsible for health care "Status Indians" while provincial governments are responsible for non"Status Indian" Indigenous people and all other Canadians

It is projected that in 2021, how many older adults will be living in rural settings? (a) 1/2 (b) 1/3 (c) 1/4 (d) 1/5

(c) 1/4

Which of the following support resources like tools and related material for general assessment for older adults with dementia and for specialized care: (a) Holistic Health Foundation (b) Healthy Days Measures (c) Hartford Foundation for Geriatric nursing (d) Faith Community Nursing

(c) Hartford Foundation for Geriatric nursing

Faith community nursing began with a conference call organized between which two organizations? (a) Salvation Army and Canadian government (b) Catholic Health organization and the Canadian government (c) Salvation Army and Catholic Health organization (d) YMCA and Salvation Army

(c) Salvation Army and Catholic Health organization

The video 'One of the Busiest Places of the in the Community' features which northern Saskatchewan community? (a) La Ronge (b) Pelican Narrows (c) Sandy Bay (d) Buffalo Narrows

(c) Sandy Bay

If an individual is experiencing aging anxiety a nurses knows (a) cultural competence is needed when dealing with this individual (b) assessment of functional age is needed (c) all ages can experience this when thinking about aging (d) it only occurs in elderly individuals over the age of 65

(c) all ages can experience this when thinking about aging. Aging anxiety (the fears that people of all ages experience when thinking about aging) is another outcome of ageism.

What amount of Aboriginal populations live either on reserves or in rural areas? (a) around 75% (b) around 65 % (c) around 45% (d) around 35%

(c) around 45%. Nearly half of the population

You have noted an elderly patient is experiencing age-related changes in vision, musculoskeletal function and central and autonomic nervous system. Before discharging from the hospital, an assessment should be done in which of the following areas: (a) nutrition and eating habits (b) intimate relationships (c) driving abilities (d) dementia

(c) driving abilities. Nurses are responsible for addressing complex decisions about driving not only as a personal safety issue but also as an ethical issue to protect society

Nurse Jackie works in a long term care setting and frequently makes sure the residents are regularly engaging in physical exercise, engaging in recommended screening and prevention services, and assuring optimal nutrition intake. She is demonstrating which of the following: (a) duties as a nurse (b) caring aspects of older adults (c) health promotion interventions for older adults (d) necessary care for older adults

(c) health promotion interventions for older adults

Cohesion should be assessed when dealing with rural changes and conditions. As part of the "Three C's" it can be seen as (a) the stock that a community or institution has to address change (b) the ability of a community or institution to access and utilize capital (c) how well community members and institutions work together to utilize capital (d) people's knowledge behaviours, and coping skills for dealing with life in healthy ways are key influences on health (e) support from families, friends, and communities is associated with better health

(c) how well community members and institutions work together to utilize capital

A rural community gets instructions to boil their water due to possible water contamination. Which social determinant of health is being effected? (a) employment and working conditions (b) social environment (c) physical environment (d) health services

(c) physical environment

An elderly patients states "I love going to coffee with my friends every morning and talking about our grandchildren". The patient is demonstrating which characteristic of aging? (a) health aging (b) active aging (c) productive aging (d) successful aging

(c) productive aging. It is the social participation and engagement of aging. The others may apply but it is unknown if this patient has healthy aging (she is in the hospital) and unknown if active aging is demonstrated.

A soft-ware based tool that calculates the likelihood of a client developing a particular disease based on using computational and mathematical processes of varying complexity is known as: (a) risk identification program (b) risk likelihood tool (c) risk assessment system (d) identifying risk assessment program

(c) risk assessment system. These web-based RAS are becoming more popular due to their die availability, accessibility, and low or no cost.

A nurse sees an elderly patient is taking a SSRI for depression and the patient has just verbalized they also takes St. Johns wort, a herbal medication also taken for depression. The nurses realizes the importance of knowing the herbal medication a patient is taking. Especially the two the patient is on because there is a risk of the patient developing: (a) blood clots (b) hypertension (c) serotonin syndrome (d) electrolyte imbalance

(c) serotonin syndrome

Which treaty includes the 'Medicine Chest Clause" which means that the federal government has a legal obligation to provide health services to First nations, that is, a right to universal health care. (a) treaty four (b) treaty five (c) treaty six (d) treaty seven

(c) treaty six

A nurse is talking with a member from a rural community. The topic is belonging to the community. Which statement best describes a strong sense of belong to the community? (a) "I enjoy working with the younger men on the farm, they are hard workers" (b) "My wife and I love living in a small town because everyone knows everyone" (c) "When I got sick, people brought me flowers and cards" (d) "I value the members of my community and believe we do a good job supporting one another"

(d) "I value the members of my community and believe we do a good job supporting one another"

New pathogens were brought to North America by Europeans and introduced to Aboriginal people, who had no immunity. This epidemic reduced Aboriginal population by what percent? (a) 5-26% (b) 29-36% (c) 40-49% (d) 53-89%

(d) 53-89%

In Canada, what percent of the country is considered land mass for rural or remote populations? (a) 60% (b) 70% (c) 80% (d) 90%

(d) 90%

Mobile telemedicine technologies provide a portable platform capable of reaching any geographical location that has coverage by a cellphone signal. The International Telecommunication Union indicated in 2011, what percent of the world's population lived in areas serviced by cellular signals? (a) 60% (b) 70% (c) 80% (d) 90%

(d) 90%

Which two federal policy documents emphasized the importance of timely access to health care? (a) Kirby Report and Asiatic Report (b) Kirby Report and Surveillance Report (c) Romanow Report and Jaxton Report (d) Kirby Report and Romanow Report

(d) Kirby report and Romanow report. Both reports also highlighted concerns about the accessibility and adequacy or health care in Canada.

The most important type of aging when working with the elderly population for a health care provider is: (a) subjective age (b) perceived age (c) chronological age (d) functional age

(d) functional age. Which is physiologic health, psychological well-being, socioeconomic factors and the ability to function and participate in desirable activities

An integrated method of functioning that is oriented toward maximizing an elderly person's potential, while maintaining a continuum of balance and purposeful direction within the person's environment is an example of: (a) addressing the body-mind-spirit inter-relatedness (b) performing cultural competent care (c) teaching about self-care behaviours (d) high-level wellness

(d) high-level wellness. Defined by Halbert L. Dunn

What aspect of health differences is most likely to be seen in rural communities? (a) people are living longer in rural communities (b) healthier diets (c) higher incidence of cancer (d) higher mortality rates

(d) higher mortality rates

The objective of the Canada Health Act is to facilitate reasonable access to health services without financial or other barriers. Which of the following are covered under the Canada Health Act (select all that apply) (a) dental care (b) homecare (c) allied health services (d) hospital stays

(d) hospital stays

The Cleveland Scale for Activities of Daily Living (CSADL) was specially designed for which of the following conditions in elderly? (a) people with diabetes (b) people with Parkinson's (c) people who are paralyzed (d) people who have Alzheimer's

(d) people who have Alzheimer's

The Canada Health Act has 5 main principles. Accessibility, universality, portability, comprehensiveness, are 4/5. Which is the 5th principle? (a) public agency (b) public application (c) public enforcement (d) public administration

(d) public administration

A charge nurses differs in a rural communities versus a urban community because: (a) heavier work load (b) more patients to take care of (c) nursing shortage is more prevalent in rural communities which makes the charge nurses role harder (d) responsible for everything in the facility, not just the unit

(d) responsible for everything in the facility, not just the unit